A Patient-Centered Nursing
Process Approach
11th Edition
• Author(s)Linda McCuistion
TEST BANK
,Question 1
Difficulty: Easy
Question Type: Multiple Choice (MCQ)
Question:
A nurse is preparing to administer a newly prescribed
medication. Before giving the medication, the nurse reviews the
patient's allergies, current vital signs, laboratory values, and
medication history. According to the Clinical Judgment
Management Model (CJMM), which step is the nurse
performing?
A. Analyze Cues
B. Recognize Cues
C. Generate Solutions
D. Evaluate Outcomes
Correct Answer: B. Recognize Cues
Rationale: Recognize Cues involves collecting and identifying
relevant assessment data before making clinical decisions.
Reviewing allergies, vital signs, and laboratory values is part of
gathering essential information for safe medication
administration.
Question 2
,Difficulty: Moderate
Question Type: Multiple Choice (MCQ)
Question:
A patient prescribed an aminoglycoside antibiotic has an
elevated serum creatinine level and decreased urine output.
Which CJMM step requires the nurse to determine the
significance of these findings?
A. Recognize Cues
B. Analyze Cues
C. Take Action
D. Evaluate Outcomes
Correct Answer: B. Analyze Cues
Rationale: Analyze Cues involves interpreting collected
assessment data to determine their clinical significance. The
nurse recognizes that impaired renal function may increase the
risk of medication toxicity.
Question 3
Difficulty: Moderate
Question Type: Select All That Apply (SATA)
Question:
, Which nursing assessments should be completed before
administering a medication with known hypotensive effects?
Select all that apply.
A. Blood pressure
B. Heart rate
C. Recent food preferences
D. Current dizziness or lightheadedness
E. Current medication list
Correct Answer: A, B, D, E
Rationale: Baseline blood pressure, pulse, symptoms of
hypotension, and concurrent medications help determine
whether administration is safe. Food preferences are generally
unrelated unless specifically required for the medication.
Question 4
Difficulty: Moderate
Question Type: NGN Clinical Judgment
Question:
A nurse reviews the following assessment data before
administering a scheduled medication:
• Blood pressure: 86/54 mm Hg
• Heart rate: 54 beats/min